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* 1. Please provide your name and contact information.

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* 2. What is your current position?

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* 3. How would you describe your current position(s)? Select all that apply.

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* 4. Currently, almost 20% of MN-ACP members are International Medical Graduates. Why do you want to serve as Chair of the IMG Committee and on the MN-ACP Council?  (200 words max)

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* 5. What would be your areas of interest in chairing the MN-ACP International Medical Graduates (IMG) Committee? (200 words max)

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* 6. Do you have any suggestions on how MN-ACP can better serve and support  our IMG members? (200 words max)

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